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NatashaYi.com

MONEY ORDER FORM
(please print and mail to)

Natasha Yi
7510 Sunset Blvd. #1444
Los Angeles, CA 90046


NOTE: Only form of payment accepted through mail are money orders in US funds.

First Name:________________________________________

Last Name:________________________________________


Address:__________________________________________

City:__________________________State:______________

Zip/Postal Code:____________ Country:______________


Birthdate:_________________________________


Email Address:________________________________


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Autograph (Circle One):


YES

NO

Personalized to: _______________________

Please make money orders payable to Natasha Yi.

NOTE: Money orders must be in US funds

Thanks for your support!
Please allow 2-6 weeks for delivery upon receipt of payment.
This is to ensure proper handling and an authentic signature from Natasha Yi.

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Signature: __________________________________

ITEM NUMBER/DESCRIPTION
PRICE
QUANTITY
TOTAL COST PER ITEM
# $   $
# $   $
# $   $
# $   $
   
SUB TOTAL
$
   
PLUS SHIPPING & HANDLING
$8.95
   
For International Orders ADD
$4.00
$
   
TOTAL COST
$



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